5 RISKIEST Doctor Specialties 

Can you do a video about doctors who work on public health?

@@jenno5555 for g I Zeffirelli hi

On the field of the anesthesiology. Have you heard of certified anesthesiologist assistants (CAA’s) ?

I would trust an ENT-trained facial plastic surgeon for anything related to the head and neck region more than a plastic surgeon any day. Trusting a body-trained plastic surgeon to perform a rhinoplasty is ludicrous. Stay in your lane and do some more gluteal advancement flaps lmao.

And TBH I would say a lot more than five years if practicing independently

Although you make a good point, one can argue that NPs go through clinicals and generally have oversight right out of graduation. The fact of the matter is, with any field of medicine you have a patients life in your hands and without proper training it can be catastrophic. However, look at for example a PA, the only training they have with regard to physical patient care is clinicals, they don't go through "the nursing track" before obtaining their degree and they generally are great at what they do. So what your saying is not technically correct, because NPs have training regardless of being a nurse previously or not.

@@Moshinepro Nursing clinicals don’t teach you how to think like a provider. Pretty much every PA program requires some sort of clinical experience.

@@joshb2686 yes, PAs do have to have a certain number of patient contact hours, but the PAs I work with in my practice worked as CNAs or phlebotomists before PA school. These positions require even less critical thinking than a nurse. My practice uses NPs and PAs. I notice the biggest difference in the new grad period. Those of us that have been practicing for awhile function at pretty much the same level of expertise, but early on in the APP career NPs that have a history of bedside experience definitely have a huge advantage over new grad PAs.

I have a huge problem with the push by nursing schools to tell everyone they need to go back for their NP right away. I experienced it in the early 2010’s when I was in nursing school, and have seen the disasters that come out of post-baccalaureate MSN programs. NPs should have a few years of experience at the bedside under their belt before going back to school. My bedside experience has been invaluable to my NP practice. Also, not every nurse needs to become an NP. We need great nurses to stay at the bedside in order to keep the staff skill ratio in balance; for me there’s nothing scarier than knowing my fresh post op heart is being cared by all new grads on nights.

Misdiagnosed by a nurse? Nurses are allowed to provide diagnosis in the US?

@@ehekatzin.belai-al-rumi I'm not in the us

@@ehekatzin.belai-al-rumi In the US Nurse Practitioners are allowed to diagnose, treat and prescribe medication. They just cant for surgeries by themselves.

They aren't regular RNs they have a Masters or Doctorate of Nursing

I've been misdiagnosed by MDs twice. I guess it comes down to: who's wrong less of the time? Because no one is right 100% of the time, no matter their training

Thinking your patients won't pay your bills ;)

Yes pls. I need it too

same

Radiology

Yes please

Psychiatry

What did the NP do?

@@rryan2855 he’s probably an MD student who made that story up The truth is, the data consistently presents that a more collaborative and open health service market is more cost effective and this type of health system has yet to show significant dangers

@@jays5926 nice word vomit

Ultimately patients need to take their health more seriously and more into their own hands. Do your research about the people who are advising you on literal life altering decisions guys. That being said health professionals are not perfect as many people would like to falsely believe.

@@FernandoChaves you’re wrong. Many do and just assume the doctors always know what’s best for their health without question. I see it everyday

It's going to happen and it has to happen because that's the only way admins are going to regret this decision when all their patient's drop like flies.

@@SirEnzo371 this assumes that admins care that patiens die.

@@nickmcdonald3083 They'll have no choice but to care as the number of dead patients increases and word spreads.

@@aries5685 The NP social media brigade will make sure that anybody talking about it would be hounded off the internet, unfortunately

from my personal experience the mid levels i've seen in the ER are very much knowledgeable in their area of practice, anything of concerns are usually brought up to physician, which honestly seem to decrease the stress of the MD themselves. Besides, independent practice doesn't eliminate referral

I agree with this post. It would be worth an extensive discussion, especially while citing past events and laws that is leading to further encroachment.

I have a more relaxed take with mid-level practitioners, I currently work in a clinic where there are both mid-level and surgeons. Largely they are utilized for follow-ups, post-ops, or surgery consults. It allows for the surgeons to focus on pre-ops and case reviews.

bad advice tbh. Yes the field changes, but certain specialties that are better compensated now are unlikely to go through radical shifts in pay in the coming decades.

100% agree! I know so many nurses that get 1 year of nursing experience and then go back to school. It cheapens the profession. I am a nurse and I eventually want to become an advanced practice, but I want to get at least 3 years of experience before going back.

It was a nice idea, years of experience to make up for a lack of education, but that doesn't really pan out. Also, as you said, NP schools will take anyone with a pulse.

True... Very True 🤦

then I suggest that you leave and pursue another profession, and seek therapy for your troubles.

@@mooshikala Triggered much?🤦😂

Ive heard about this; not to mention the over referral problem with NPs. Any chance you could post the link to this study?

Thank you for this. I needed a reason to continue forward in medicine lol

Commenting to see the link

@@EvitaGlez same 😅 I’m feeling very discouraged

Speaking from 13 years as a radiologist, I can 100% attest to the overordering of tests by midlevel practitioners. I used to call and try to educate, but you can't educate past poor confidence in their own diagnostic skills, so they use me as their exam. No joke, esp with video visits, the problem is bad.

Being a psych NP is the hottest topic in mid-level school right now, so that's at risk too

@@nishantgogna270 And they throw a cocktail of drugs at patients that end up making their conditions worse. They have no idea what they're doing 90% of the time.

@@SirEnzo371 That's a myth and rumour created by people who stigmatise mental illnesses. A lot of them do help people and are passionate about it. Only a very very small minority are as you described. Most of them do research and study mental illnesses non-stop to find solutions/improvements in treatments.

@@Bonbon-lk9gv it’s really funny seeing these insecure MD students attacking midlevels. I could snap my finger and have the most recent treatment guidelines for any psychiatric diagnosis, to date . That, alongside easy to read treatment algorithms that a high school kid studying biology could interpret. That’s the power of technology . We have to accept that health care is changing and offering a cost effective care service involves working as a interdisciplinary team. MDs used to be the gatekeepers of knowledge , in many ways. But with the how medicine has changed with the digital age - there are many more providers who can triage and diagnose for minor ailments

@@nishantgogna270 So what. Higher earning, cash pay patients are smart and know the difference between an NP and a psychiatrist. They will seek out the better trained, more educated provider (physician).

"letting them loose" I hate to tell you but NPs are and have been working independently for years and there is no evidence to show there are bad outcomes or safety issues. Don't believe everything people tell you. The guy in the video is not a practicing physician for a reason.

Would it impact patients health MORE than a shortage of any care though? We aren’t choosing between mid level providers and physicians. We are not choosing between great health care providers VS subpar healthcare providers. We are choosing between a shortage of health providers VS keeping the current path. Quantity over quality saves lives.

Agreed, this is one contention I have with some of my PA colleagues. As PAs I think it's far better when we are working alongside an MD/DO (or at least can quickly communicate with one remotely if not physically present), especially in certain circumstances that require their clinical experience/expertise in complex patient cases. I know I for one am glad I can be in constant communication with one especially prior to minor procedures where the patient has an extensive past medical history and/or a laundry list of medications they're currently taking. Funny that often times I will get a "just refer them to (insert specialist)" if it's too complicated.

Do you feel this is due to the shortage or physicians in the field? So resorting to outsourcing almost.

I have also been treated by NP's several times in Primary Care when visiting the doctor's office, and all 3-4 experiences were as good as being treated by my regular physician, and sometimes even better.

@@timsohn7057 I personally think that's part of the reason why. Also, healthcare systems that hire healthcare workers will have incentive to hire more PAs and NPs and less doctors because it will cost these companies less allowing them to maximize their profits. This is already what's happening with EM and Anesthesia as mentioned above. More independent PAs and NPs in primary care, I believe, will create competition between these and doctors. But, let's see what the future holds.

@@ForsakenForWhat Okay 🙂

They’ve been the target for a while now, but the suits didn’t realize the extenders don’t wanna do primary care anymore than medical students do. It’s very difficult to be mediocre and excel in primary care given the breadth of knowledge required.

Do you think they also threatens internal and pediatric medicine?

I believe once this older generation retires, we will be in a world of hurt for every job field in the US. I know looking at cardiology, more than 25% of them are over the age of 61. Meaning within 10 years most if not all will be retired. That is a huge loss of experience and a sudden loss in filled positions. In large cities where these carrers are so sought after, but I know where I am in rural Wisconsin, they can not hire enough physicians fast enough. The pay to cost of living is very comparable to larger city doctors. Nobody wants to practice in rural areas, except a select few.

Thank goodness I want to go back to rural Arkansas / missouri

​@@joshb2686 that's my plan as well. The rural communities where I am are hurting for doctors to the point they are paying for malpractice insurance and helping to pay back student loans for physicians that want to work there. The medical college has ~20 opening for specialized rural medicine. It will be interesting.

Rural living is where it's at. People are missing out lol. I just started my EM residency and if going rural is my only option after it's all said and done, I wouldn't mind.

Most of them do, sadly it’s exactly the one’s who are dangerous who fight for IP.

You sound salty or hurt.. cheer up

@@NN-ko8fu I'm concerned about the fact these doctor wannabes are getting people killed

@@NN-ko8fu If you don't think a standard of care is important you don't belong in medicine.

@@RideBound he’s part of the reason why it got this bad. They just gaslight doctors endlessly

Thank you for pointing this out and we will learn from this

What do you make of the Radiation Oncology threads in SDN? They certainly seem to think the sky is falling in the field. The field has dropped significantly in popularity and there are several horror stories with regards to the job market. Where is this discrepancy coming from between your experience and the several experiences on SDN? Also you can't deny the fact that residency places have increased by over 200% with decreasing indications for radiation. You may have got lucky, or worse you're a pawn by ASTRO to mislead medical students into thinking the situation isn't as dire as it is.

Also if you're genuine can you please disclose the starting salary you were offered? Again this is apparently way lower for new grads and far from the average figure in the mgma survey.

@@vans4lyf2013 I have not truly dug into the threads on SDN for radiation oncology. I’ve heard they are not positive. I did look at a thread on the ARRO survey that gives some interesting interpretation, but it at least shows the data. The number of positions may have grown for a decade or two but many programs have recently cut back on slots that were previously open, which would argue in favor of a job market scare. The ARRO survey is a decently accurate representation of what is happening to current graduating residents. A few horror stories in SDN is a small sample size to rely on and apply to the market as a whole. I feel bad for anyone that struggles finding a job, but when 95+% secure full time employment and 64% are very satisfied with the job acquired I have a hard time seeing the doom and gloom in that. As far as starting salary goes for me and my co-residents, it is as follows $350,000, $375,000, $385,000, $540,000, $540,000, and $540,000.

@@vans4lyf2013 Radiation is one of the pillars of oncologic care and at least 50% of cancer patients require it at some point in their disease course. If it is eliminated as a treatment option then surgery and chemo would be on the chopping block as well. The only thing that would eliminate radiation and the specialty of radiation oncology is a cure for cancer that does not include the usage of radiation therapy.

I want to be a infectious disease doctor too! It's like the detectives of medicine 😍

ID for the win! I love being an internal medicine resident, but I can’t wait to be an ID fellow! 🥰😻

Same, i was thinking about into plastics but now I'm also considering cardiology.

It's too late for me I already took Radiology

@@farazalam538 do you like radiology? That’s the field I want to go into

​@@jamiyahdillard6898"It's too late for me" yeah pretty sure they love it

I have had 2 family members misdiagnosed by nurses because the nearest doctor was 2 hours away (eastern Oregon). One of the family members ended up having a tumor the size of a baseball. A commentator on this video mentioned it already but alot of these hospitals will straight up help pay some of your medical school loans. New grads are missing a huge opportunity, chasing big city life.

So your dad was overseeing 5 CRNAs at once? Maybe thats why he was sued because a physician anesthesiologist is only allowed to supervise up to 4 anesthetists at once.

@@Cosmystery Maybe it was 4, I could be wrong. This was also 19 years ago, maybe the laws were different then? The anesthetist and the hospital were the primary targets of the suit, but obviously as the physician on call my dad was named in the suit.

There's no CRNA that I work with that think they could replace an attending for the job. Maybe some of the simplest cases but good luck geting a CRNA who is well-versed in regional blocks + cardiac anesthesia + nuances of neuroanesthesia all together

Medical direction which most people do is up to 4, but supervision is up to 6.

@@Cosmystery We are called Anesthesiologists. That "physician anesthesiologist" or "MDA" is propaganda manufactured by the AANA. It's designed to convince patients that equivalence exists between the two groups. Different training. Different skill set. We both have a niche to fill in the perioperative setting, but CRNAs pushing for independence does not improve objective outcomes in surgery. Period.

I am currently in PA school. I completely agree with the fact that it's a TEAM effort, lead by the physician. I know my place as a physician assistant and that there is no shame in asking for help. You are doing the patient a great disservice if you are not confident in your assessment/plan! I do not want to practice independently (if I wanted to, I would have applied to med school). Honestly, when I started PA school I wish I had, because it is SO MUCH to learn in 2.5 years. I kept thinking, well there is a reason it takes a decade to become a doctor. I think a PA working in a specialty for years under the guidance of a good physician may be capable of practicing independently-but that’s a case by case scenario considering PAs can switch specialties whenever. Wouldn’t make sense for ALL of them to be able to practice independently WHEREVER. I can understand where frustration arises as a physician, because you worked X amount of years to have nearly an identical scope of practice as a PA/NP. I understand how it must feel when a PA/NP fails to recognize or respect the hierarchy. Which often results in a doctor feeling as if they need to constantly reinforce this hierarchy and assert dominance. This is SO common with nurses too. It’s really invigorating being dismissed, or treated as if you don’t know anything when some of us are INDEED very capable. And might I add, if a doctor make a mistake or misdiagnoses a patient- its that own individual doctor’s fault. If a PA makes a mistake, it public outrage that the PA profession as a whole is incapable. Anyways, a good PA + a good doctor working as a team and respecting each other- that’s the dream. I wish all provider could put these hostile feelings to rest and work as an actual team!

Self- interest* Everyone wants to make more money for themselves and their families. Every organization wants to maximize profits. Change the incentive structure, change behavior. Your oversimplification makes it too easy to demonize people

@@sergiootero5904 corporations more so than people

Wow! Thank you for this. Really! ❤️ I purposely chose to stay out of ED because I didn’t want to deal with the contentious providers crying “they’re stealing our jobs” Im comfortable in my nice little niche of urgent care; if they’re too sick got to the ED. If it’s a minor level 5, “follow up with your PCP” Even though I’d love to be a part of a ED team taking care of pts together AEM and ACEP don’t want us there; and frankly I’m don’t want to be where I’m not wanted; even though I feel that I have quite a bit to offer 😉

@@fredastaire6156 There was never any "competition" between the docs and the PAs, NPs I worked with. Maybe our situation was atypical but the mid-levels were allowed to do all procedures including intubation, joint reduction etc.

Really?! Just when I was looking into Emergency Medicine & it really catches my attention. Right now I am going to study for the MCAT in the summer

He's just reacting to a recent AI article on radiology

There will be blowback eventually. Anyone with any common sense understands midlevels are overreaching.

@@joshb2686 I don't think this is the case. for several reasons. First, greedy doctors have come to love midlevels because they can bill under their own name, pay the NPs less than the insurance compensation, and scalp the difference. Scale this up and you're raking it in. A reasonable limit on the number of NPS a physician can oversee is crucial. Second, patients are rarely aware of the difference. In my practice, the patients refer to the NPs as Dr. even though the NPs clearly introduce themselves as Nurses. additionally, hospital systems love them for the reasons listed in this video- cost. If they can bill under the physician for midlevel care they don't give a rats ass. lastly, the NP lobby is extremely organized and politician are stupid. AOA has been doing a good job to anti-lobby, but AMA can do more imo.

@@RideBound ohhh it will never go back to what it was. Patients will get hurt and there will be some regression though

@@RideBound NPs never refer to themselves as nurses lol in my hospital (I work as a CNA) every NP introduces themselves as Provider/Doctor and nothing else.

What is your opinion concerning family,pedriatic and internal medicine?

Yes SYWTB episode is on the list

@@MedSchoolInsiders awesome!! Thank you guys for all you do.

Heme-Onc is a great field. New treatments coming out monthly. You will meet the bravest, most inspiring patients and families you can imagine.

That’s Pharmacy right now

I wouldn't even call what's happening in radiology AI. It's actually machine learning which is a bizarre subfield of statistics where you effectively over fit a large data set and hope that your model never sees anything too different from that data set. Yeah, you can train it to almost perfectly identify any one condition, but it will be years before it can be presented with an imaging study at random, check all possible conditions, and write up a report.

@@robertmines5577 You can definitely train AI to identify and diagnose a range of things, and over time (I would say sooner than later, and in my opinion much higher than zero chance in the next 20-50 years) I don't see why it couldn't completely replace a radiologist. Or at least, do to radiologists what self checkout machines have done to cashiers, replacing many professionals with a single person overseeing what is going on.

@@MJ-ns9om ehhh I do research in machine learning in radiology, and at this point it is very far behind. I think people don’t understand all that radiologists have to do and the speed they have to interpret data AND make clinical decisions.

@@thesneakygamer4343 so do I! And i wouldn’t be surprised if in 20 years time, demand for radiologists is still high and AI has replaced 0 jobs. I would also not be surprised if it was the complete opposite. The neural network boom only started 10 or so years ago and there has already been lots of advancement, but not nearly as much as some predicted (for ex. completely self driving cars have been like “5 years away” for a long time). Still, radiology seems like the obvious first specialty that would be replaced, and i think saying anything about what things will be like in 50 years is a bit ambitious. 50 years ago we didn’t even have MRI.

@@MJ-ns9om I think the technology will be there but you also have to keep in mind how difficult can it be to transition the technology into a clinical environment. MRI was supposed to replace CT and it still hasn’t because it is slow to operate. Additionally, Radiologists also have to do procedures such as fluoroscopies, ultrasound, injections and coordinate and discuss findings with other physicians. Radiologists often have a big say in making and discussing clinical decisions as a part of the patient care team.

EM docs are delusional and always say this. They are wrong, I promise you.

What’s an example of one of those questions?

Would love to know more about this. Are you in pathology?

Absolutely and this is how it should be! We are proponents of physician led care and the appropriate scope of practice for each provider. The issue we see is when the groups for certain professions push hard for equal scope of practice and argue they are equally qualified (dunning kruger).

@@MedSchoolInsiders Sucks to the see the US system is such a mess. Here in the UK, it's getting worse too. We have physicians assistants playing doctor and introducing themselves as medical students, nurses doing TAVIs, radiographers reporting a bunch of nonsense from scans etc. The rise of the noctor is a dangerous one indeed

Dude, go do an anesthesiology rotation plus get a mentor. It's hard to see it as a med student without some experience, but CRNAs aren't taking anesthesiologists jobs. Do a surgery rotation and get in as many operations as possible to see if it's for you or not. But even some specialty surgeons (like peds cardiac) have a hard time finding a job. Talk to real people who does this for a living before listening to this RU-vid video. Lots of half truths here.

Evidently you aren’t the only one. Match went from 79% match rate for DO’s to 90 in one year (similar for MD). 700 less applicants as-well. If I wanted to live in a big city I would reconsider path’s, but there is still a need for level 2 and 3 trauma centers in rural areas (where I live).

I do expect salaries to stagnate at the very least though

Really?! I was looking into the EM field especially being in a big city

@@littlesparrow303 you won’t get a job out of residency. Might be able to snag one eventually, but not right off the bat.

Just wanted to let you know that the training and scope of NP practice varies in different countries. Where I live nurses who want to become NPs must have at least 2 years of clinical experience as a nurse to be able to get into NP school. I am planning on doing an NP program and would love for the NP program to have an NP residency and extensive clinical training. However if that were to happen then NPs would be more on par with physicians (which I don’t mind) although I am almost certain physicians would mind. Also a good NP will likely get their RN experience in a specialty related to what they want to pursue in order to better practice once they are an NP. I am getting ER experience and planning to get ICU experience and then will probably become an adult-medicine NP, although again I haven’t decided. But if an NP wants to do pediatrics they should work in peds for a few years to familiar with the specialty before they go to school. I don’t think American NP programs require nursing experience though, unlike Canadian ones.

@@miryamdev764 I would agree that clinical experience in a specialty area you intend to practice is important. The problem is that RN training and experience is focused obviously on nursing care, not the diagnosis and management of illness and injury as is the case for physicians. I have worked with some very experienced ED NPs (and PAs) who still missed crucial life/limb threatening diagnoses. I value their help in the ER, but still believe they should work under the supervision of a physician. I wish you the best on your career plans.

@@KansaSCaymanS unfortunately I do not know but that is what I have been wanting clearer answers on and hope that the healthcare system in the U.S. takes into consideration. We need to be able to provide higher education and board certification to these midlevels that want to practice independently. If that is in fact where the healthcare system goes from here. Now, there are residency/fellowships that a PA/NP can apply and attend but they are only 12 to 24 months and although they sound like proper training. Some if not all are filled with physicians that are also doing there residency. For obvious reasons there is a lack in practical application for midlevels in these programs because the MD/DO’s residents get priority. Obviously so, but for that reason they need to implement better programs and make it a requirement if mid levels want to go into independent practice. As I said before I am not for nor against independent practice. However, because it seems as if that is the path that the healthcare system in the U.S. is heading then I would implore that residency/fellowship is required and that the programs be led by MD/DO’s as such are current residency programs right now. Also, as for your comment on DNP’s, academically they can in fact refer to themselves and others can call them Doctors. They have a doctorates in such field. However they cannot in a clinical setting.

@@arrekusu9709 Agree with both your points. If APPs want to practice independently (where allowed), they should have to complete a minimum 2 year residency first (in eg Peds, EM, Family Med, etc.). I also have no problem with DNPs (or DMSci in the case of some PAs) being called Doctor in the academic setting, only in the clinical setting where a patient may believe they are a physician.

Yep, they claim that mid-level's will improve and increase quality care to more rual areas. But it's hilarious because that's not even what's happening, NP students want to work in big cities, and guess what, hospital administrators are letting them since they're cheaper lol.

@@caleb3781 It is that the truth is that all of you are very selfish, you treat nurses very hard in the comments. A nurse will obviously aim to live in the big cities because we get paid decently, it's not at all fair that we want to fulfill our dream of helping others in the more remote areas and earn the same as a mcdonalds cashier if we stay there. A McDonald's cashier, can you believe it? Hundreds of late nights studying and we aspire to not earn enough. It's one thing to "do things by vocation" and another to starve to death because we can't pay the thousands of debts we have. I hope you think a little more before commenting, everyone already treats nurses like shit, and we nurses don't even get paid that well ;_; we only go to the big cities to earn a salary that allows us to live at least a little more peacefully ;-;

As an NP, I agree partially. After years of experience, NPs should be able to practice independently. However, I believe collaborating with MDs or other NPs is important regardless of experience

@@alexpeguero38 I seen NP struggling to treat patients and often have to use google for medications. I rather seen a physician that has gone through extensive amount of education and training to get to where they are today instead of taking the nurse - NP route

@@torresthemonster understandable but I have also seen that with MDs. Be open minded to NPs or PAs treating you as they are becoming more common and you may not have a choice who may treat you.

​@@alexpeguero38 "you may not have a choice who may treat you", that is a very bold statement considering the fact that patients have to pay the same BILL as if a MD was seen by them, but it was a PA or NP. How does that work? If I at patient is being charged as the same as a MD, then I bet they better make sure they see a MD. I volunteer at a ED, and we only have MD/PA's that see the patients. I would only be comfortable to see a PA, when a MD is present.

@@torresthemonster NPs can practice independently depending on the state and most likely, you’ll be charged a lower fee if you’re ever seen by one. What I’m trying to say is the most facilities are using NPs or PAs. You can request an MD, but don’t be surprised if you schedule to see someone, that an NP or PA will be treating you as well. Keep an open mind! When they hire providers, especially at big institutions, they’re not being hired because they’re not qualified for the job. Also, facilities may require an MD to sign off on a note because the insurance will pay 100% for the visit or encounter. If an NP or PA saw the patient, the reimbursement will likely be about 85%. Most often, if you’re seen by NP or PA, they’ll write the note and their assessment, an MD may read the note, and sign off without question unless the NP or PA is not confident in their judgment. In the end, you will still get charged the MD rate.

In the US, DOs are not mid-level but equal to MDs

Personally, It think is a great idea. My buddy quit Emergency Medicine and know works cash-only.

As am I. The data presented here about our specialty is just wrong. There is a dire need for anesthesia services and HUGE demand. Our salaries have risen quickly and there is no resolution of the problem in the foreseeable future

i'm a nurse and i've seen practicing MDs and PAs who are completely clueless about EKG. One PA was trying to give adenosine to a tachycardic patient trying to compensate for sepsis, simply to "treat tachycardia". An MD kept ordering pain meds to my friend's grandma for a hip pain, not until she went to an NP who actually listened and diagnosed her with a bone cancer! My point is, there's always outliers, and generalizing a profession based on one personal experience is completely ignorant.

Your just a PA, chill out.

Now you know how MD feel .

Incompetence finds itself in all professions.

Bro please unless you are a PA that works in a cardiology group besides obvious abnormal rhythms you know for a fact you lack the knowledge to comprehensively read an ECG that is why you consult a cardiologist.

As a science BSN who planned on doing an MD/PhD combined program, but stayed to do a PhD under her undergrad research advisor with the intention of getting a PhD and then going to medical school, I can tell you from my personal experience as a PhD candidate that’s been with my department for 4 years now, most of our students take >5years to complete their degrees and most are disheartened by the job offers they can get from academia. Many have dropped out to redirect their career goals as they are realizing a PhD will not get them a job that they want. The “prestige” is not at all worth the pay or work/life balance for most and even the most qualified PhDs are struggling to find tenure track positions after their post-docs, being forced to jump from post-doc to post-doc to try to build their resume and ultimately leaving the field all together or entering industry. If you do get a STEM PhD, I would highly recommend building niche skills or getting very good at coding while you complete your PhD so you can get a nice industry job and work reasonable hours for decent pay. After working many many hours for practically no pay and realizing that mid level practitioners have more patient interaction, I have reconsidered my drive to enter the medical field as an MD/PhD and plan on entering nursing school after I defend. I would highly recommend you evaluate what you want out of your career: income, amount of schooling, career growth, flexibility, level of patient interaction, teamwork, independence, work-life balance etc. and decide which factors matter most to you. For me, I am tired of working a lot (60+ hours) for little pay (less than (30k) a year and I am no longer interested in going through residency and beyond working the same if not greater hours. I value work-life balance and patient interaction most. This is also why I’ve decided an industry position doing bioinformatics is not for me. I like people and while this job offers a great work life balance- I am an extrovert and miss interacting with people. While this is just one perspective, I hope this gives you some insight as you think about what it is that you want.

@@abby3494 I consider myself to be a highly introverted person and am only interested in industry. I would be most interested in studying immunology or microbiology and then working in medical or regulatory affairs in the pharmaceutical industry. I realized after working as a pharmacy technician that patient care and interaction is not something I am passionate about- at least, not as much as science and pharmacy alone. Thank you for your feedback!!

Just wait until you’re actually practicing. Academia is nothing like actual clinical practice.

Mind if I ask what town you live in? I'm currently just a senior in high school and really look forward in pursuing Emergency Medicine, but this video kind of scares me as I'm afraid that if I pursue this career, it won't really amount to anything because of the scare amount of EM Physicians needed, and competitiveness to obtain the ability to work as an EM Physician.

@@Eddyuardov Major city states for sure Like Chicago, Dallas, Phoenix , military hospitals will need you!!! Please continue to pursue!! I plan on going OBGYN but if that’s your passion you’ll pull through .

High turnover rate. I used to be a ER scribe, most of the docs were over the age of 60. The few younger docs switched specialties. This is in Berkshire Massachusetts.

@@Lawlesslarry69 Did you ask them why?

@@ForsakenForWhat yes, high burnout.

I've worked in the ER with midlevels where they staff the urgent care rooms. Yes they can write a script for steroids and a Z pack. But give them a patient w/ salmonella, or measles, or like a child with fulminant liver failure and they will miss it every SINGLE time. Put one in a subspecialty, especially where they work with the same supervising physician every day, and they will have their work down pat. I am sure someone will respond to this with "I know plenty of midlevels that I'd rather have care for me than some of the docs that blah blah." This is a logical fallacy. We are talking macro-scale so we have to use averages. Otherwise, what if I asked you to compare the best doctor you know to the worst NP you ever encountered? Can't mix micro with macro scale logic.